Date of Award

Fall 12-15-2017

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Dr. Frisbee, Kristi; (

Second Advisor

Dr. McClaskey, Barbara (

Third Advisor

Dr. Horner, Stephen (


An Abstract of the Scholarly Project by

Stacey Middleton

There are two constants that every person can count on in life, being born and dying. No amount of research is required, and there is no need to challenge the inevitable. When a child is born, people celebrate and congratulate the new parents and their family. When a person dies, people are saddened by the loss of a friend and loved one. Death comes to all and is either, fast and unexpected or a slow drawn out process. Every dying patient deserves to die with dignity, be free from pain, and be supported emotionally and spiritually. Currently, hospice programs offer each aspect. However, in the areas of Southwest Missouri, Southeast Kansas and Northeast Oklahoma the only options for hospice care are home hospice, hospice within a nursing care facility or in an acute care hospital none of which are able to provide long term 24/7 care for dying patients. This leaves a significant gap in services for patients with life-limiting and/or life-ending injury or illness in the tristate areas of Southwest Missouri, Southeast Kansas and Northeast Oklahoma. The goal of was to establish a need for inpatient hospice services in the local areas and develop a business plan to begin the process of establishing Care Plus Inpatient Hospice House and fill the gap in dying care services.